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NRS 2002营养风险筛查在结直肠癌围术期中的应用 被引量:14

The Application on Nutritional Risk Screening 2002 in perioperative period of colorectal cancer
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摘要 目的探讨欧洲营养风险筛查2002(NRS 2002)在结肠癌围术期中的应用。方法选取2015年1月~2016年12月在河北北方学院附属第一医院择期行结肠癌根治术的120例患者作为研究对象,采用NRS 2002进行围术期营养评估,分为营养风险组(NRS 2002评分≥3分)和营养正常组(NRS 2002评分<3分)。比较两组患者术后并发症发生情况,并应用Logistic逐步回归分析术后并发症发生的危险因素。结果营养风险组有45例患者,营养正常组有75例患者。本研究中共有33例(27.50%)出现并发症,营养风险组17例(37.78%),营养正常组16例(21.33%),两组比较差异有统计学意义(P<0.05)。其中,营养风险组中行营养支持的患者术后并发症发生率明显低于同组未行营养支持的患者(P<0.05)。Logistic多因素风险回归分析结果显示,高龄、高ASA分级、低分化程度和NRS 2002评分≥3分是结肠癌术后并发症发生的独立危险因素(P<0.05)。结论 NRS 2002评分系统能有效评估结肠癌术后并发症的发生率,并指导围术期营养支持。 Objective To explore the application of Nutritional Risk Screening 2002(NRS 2002) in perioperative period of colorectal cancer. Methods From January 2015 to December 2016, 120 patients underwent radical resection of colorectal cancer in the First Affiliated Hospital of Hebei North University were selected as research objects. The perioperative nutrition of these patients was assessed by NRS 2002, then the patients were divided into nutritional risk group(≥3 scores) and eutrophic group(3 scores). The postoperative complications of the two groups were compared,of which the risk factors were analyzed by Logistic regression. Results There were 45 cases in the nutritional risk group and 75 cases in the eutrophic group. The study showed that were 33 cases(27.50%) with complication, including 17 cases(37.78%) in the nutritional risk group and 16 cases(21.33%) in the eutrophic group. The difference between the two groups was statistically significant(P〈0.05). In the nutritional risk group, the incidence of postoperative complications of patients with nutritional support was lower than that of patients without nutritional support(P〈0.05). The Logistic regression analysis showed that advanced age, high ASA classification, low differentiation degree and NRS 2002 score greater than 3 were independent risk factors for postoperative complications of colorectal cancer(P〈0.05). Conclusion NRS 2002scoring system can effectively assess the incidence of postoperative complications of colorectal cancer and guide the perioperative nutritional support.
出处 《中国医药导报》 CAS 2018年第2期100-103,共4页 China Medical Herald
基金 河北省临床医学优秀人才培养研究项目(3101-03-02) 河北省张家口市科技局指导性计划项目(1621069D)
关键词 欧洲营养风险筛查2002 结肠癌 营养风险评估 并发症 应用研究 Nutritional Risk Screening 2002 Col-orectal carcinoma Nutritional risk assessment Com-plication Application research
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